4YK-49508-73775
2 vaccinations
3 coded responses
23 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 044 / ME
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Registered in v-safe
-
2021-01-14
Dose 1 — Moderna
- 2021-01-14
-
2021-01-15
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tiredness, NauseaAdult check-in
-
2021-01-16
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness · Diarrhea, Abdominal painAdult check-in
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-21
-
2021-01-28
Survey response — day 14, dose 1MedDRA: Injection site reaction, Office visit, Specialist consultation, Vaccination site joint erythema, Vaccination site pain, Vaccination site warmth — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: On day 8 post vaccine I work up with red, hot, painful to touch 3x3 inch circular area on upper left arm in general area of where vaccination occurred . Disappeared with in 24-48 hours · Healthcare visit (other): Went to PCP officeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-28
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-04
-
2021-02-11
Dose 2 — Moderna
- 2021-02-11
-
2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-23
- 2021-05-13
-
2021-08-12
Survey response — 6 months, dose 2MedDRA: Cough, Dry throat, Impaired work ability, Oropharyngeal pain, Sinus congestion, Upper-airway cough syndrome — Feeling: FairFree text: Just in the past few days have developed Dry/sore throat and sinus congestion post nasal drip and cough. Have not been tested as yet as currently on vacation. Will need to be tested if not better by the time I need to return to work.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2022-02-11
Survey response — 12 months, dose 2MedDRA: Nasopharyngitis, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend schoolFree text: Developed cold symptoms 5 days ago tested positive for COVID.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-11 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 3 — day 14, dose 1
Symptoms: On day 8 post vaccine I work up with red, hot, painful to touch 3x3 inch circular area on upper left arm in general area of where vaccination occurred . Disappeared with in 24-48 hours
Healthcare visit (other): Went to PCP office
Release 9 — 6 months, dose 2
Symptoms: Just in the past few days have developed Dry/sore throat and sinus congestion post nasal drip and cough. Have not been tested as yet as currently on vacation. Will need to be tested if not better by the time I need to return to work.
Release 11 — 12 months, dose 2
Symptoms: Developed cold symptoms 5 days ago tested positive for COVID.
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| HCVO | Specialist consultation | ○ | ✓ | ○ |
| SD | Cough | ✓ | · | ✓ |
| SD | Dry throat | ✓ | · | ✓ |
| SD | Impaired work ability | ✓ | · | ✓ |
| SD | Injection site reaction | ✓ | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sinus congestion | ✓ | · | ✓ |
| SD | Upper-airway cough syndrome | ✓ | · | ✓ |
| SD | Vaccination site joint erythema | ○ | ✓ | ○ |
| SD | Vaccination site pain | ✓ | ✓ | ✓ |
| SD | Vaccination site warmth | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release